SOUTHERN COLORADO UTE SERVICE UNIT NPI 1629344908

NPI Information

NPI: 1629344908
Provider Name: SOUTHERN COLORADO UTE SERVICE UNIT

Doing Business As: WHITE MESA HEALTH STATION

Classification: Clinic/Center - 261QP0904X
Entity Type: Organization

Specialization: Public Health, Federal

Address:
232 RUSTLING WILLOW ST
TOWAOC, CO
ZIP 81334
Phone: (970) 565-4441
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SOUTHERN COLORADO UTE SERVICE UNIT is a public health and federal clinic center in Towaoc, CO. SOUTHERN COLORADO UTE SERVICE UNIT NPI is 1629344908. The provider is registered as an organization entity type.
The provider Is Doing Business As White Mesa Health Station.

The provider's business location address is:

232 RUSTLING WILLOW ST
TOWAOC, CO
ZIP 81334-049
Phone: (970) 565-4441
Fax: (970) 565-9110

The provider's authorized official is Earl David Ward .
The authorized official title is Health Center Director and has the following contact phone number (970) 565-4441.

The enumeration date for this NPI number is 3/30/2012 and was last updated on 3/30/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP0904X	Clinic/Center	Public Health, Federal			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	G7123	MEDICAID	NEW MEXICO
2	05600002	MEDICAID	COLORADO
3	708000	MEDICAID	ARIZONA
4	TEZ036	MEDICARE UPIN	COLORADO
5	70000000009	MEDICAID	UTAH
6	320057	MEDICARE OSCAR/CERTIFICATION	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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